Abstract
Recent developments in nanotechnology have brought new approaches to cancer diagnosis and therapy. While enhanced permeability and retention effect (EPR) promotes nanoparticle (NP) extravasation, the abnormal tumor vasculature, high interstitial pressure and dense stroma structure limit homogeneous intratumoral distribution of NP and compromise their imaging and therapeutic effect. Moreover, heterogeneous distribution of NP in nontumor-stroma cells damages the nontumor cells, and interferes with tumor-stroma crosstalk. This can lead to inhibition of tumor progression, but can also paradoxically induce acquired resistance and facilitate tumor cell proliferation and metastasis. Overall, the tumor microenvironment plays a crucial, yet controversial role in regulating NP distribution and their biological effects. In this review, we summarize recent studies on the stroma barriers for NP extravasation, and discuss the consequential effects of NP distribution in stroma cells. We also highlight design considerations to improve NP delivery and propose potential combinatory strategies to overcome acquired resistance induced by damaged stroma cells.
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Abbreviations
- EPR:
-
Enhanced Permeability and Retention Effect
- ECM:
-
Extracellular Matrix
- TME:
-
Tumor Microenvironment
- BM:
-
Basement Membrane
- IFP:
-
Interstitial Fluidic Pressure
- TAF:
-
Tumor Associated Fibroblast
- TAM:
-
Tumor Associated Macrophage
- MMP:
-
Matrix Metalloproteinases
- NP:
-
Nanoparticles
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Acknowledgments
This work was supported by NIH grant support: CA149363, CA151652, CA149387 and DK100664. The authors thank Andrew Mackenzie Blair for his assistance in the chapter preparation.
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Miao, L., Huang, L. (2015). Exploring the Tumor Microenvironment with Nanoparticles. In: Mirkin, C., Meade, T., Petrosko, S., Stegh, A. (eds) Nanotechnology-Based Precision Tools for the Detection and Treatment of Cancer. Cancer Treatment and Research, vol 166. Springer, Cham. https://doi.org/10.1007/978-3-319-16555-4_9
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